Pressure max expiratory/inspiratory at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$279.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$465.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$29.01 with UPMC Health Plan vs $472.66 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | CHIP | $29.01 | ↓ -90% |
| Prime Net | Managed Medicare | $56.01 | ↓ -80% |
| Keystone Health Plan | Medicare Advantage | $83.60 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $83.60 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $94.00 | ↓ -66% |
| United Healthcare Community Plan for Families | PA Medicaid | $116.21 | ↓ -58% |
| Highmark BCBS of PA | Medicare | $148.77 | ↓ -47% |
| Prime Net | Legacy Commercial | $155.08 | ↓ -44% |
| Aetna | ACO | $156.33 | ↓ -44% |
| Prime Net | ACO | $156.33 | ↓ -44% |
| Aetna | Medicare | $156.73 | ↓ -44% |
| Geisinger | Medicare | $157.78 | ↓ -43% |
| Cigna | Medicare | $157.78 | ↓ -43% |
| United Healthcare | Medicare | $160.79 | ↓ -42% |
| United Healthcare | Commercial | $163.00 | ↓ -42% |
| Prime Net | NonGateKeeper | $184.76 | ↓ -34% |
| Prime Net | GateKeeper | $186.01 | ↓ -33% |
| Aetna | Commercial | $186.01 | ↓ -33% |
| Capital Blue Cross | Commercial | $196.08 | ↓ -30% |
| Capital Blue Cross | CHIP | $196.08 | ↓ -30% |
| Keystone Health Plan | Commercial | $196.08 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $229.90 | ↓ -18% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $229.90 | ↓ -18% |
| Keystone Autism Services | ACAP | $240.43 | ↓ -14% |
| Geisinger | Commercial | $273.71 | ↓ -2% |
| UPMC Health Plan | Commercial | $292.60 | ↑ +5% |
| Prime Net | FH-Medical Rental | $302.63 | ↑ +8% |
| Preferred Healthcare System | PPO | $313.50 | ↑ +12% |
| Cigna | Commercial | $326.04 | ↑ +17% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $355.30 | ↑ +27% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $444.23 | ↑ +59% |
| Highmark BCBS of PA | Medicaid | $462.56 | ↑ +66% |
| Highmark BCBS of PA | Commercial | $472.66 | ↑ +69% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Pressure max expiratory/inspiratory at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $148.80 | $7.04 – $161.10 |
| UPMC Bedford | Everett | $225.00 | $19.54 – $161.10 |
| UPMC Carlisle | Carlisle | $279.00 | $29.01 – $355.30 |
| UPMC Community Osteopathic | Harrisburg | $279.00 | $29.01 – $355.30 |
| UPMC East | Monroeville | $166.20 | $7.11 – $161.10 |
| UPMC Northwest | Seneca | $154.80 | $18.28 – $161.10 |
| UPMC Hanover | Hanover | $279.00 | $29.01 – $239.15 |
| UPMC Horizon-Greenville | Greenville | $254.40 | $17.09 – $161.10 |